COVID-19 Booster Study

Name(Required)

First Last

Email(Required)

Phone(Required)

Age of child (must be 12-17)(Required)

Has your child recieved the primary series of the COVID-19 vaccine?(Required)

Yes

Does your child have any autoimmune conditions, such as HIV or Celiac Disease?(Required)

Yes

Has your child started any new medications in the last 60 days?(Required)

Yes

Has your child had COVID or received a COVID vaccine in the last 90 days (3 months)?(Required)

Yes